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Organization

ROLAND S. BEVERLY III, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROLAND SPURGEON BEVERLY III M.D. (OWNER)
(949) 831-3057
Entity
Organization

Contact information

Practice address
24541 PACIFIC PARK DR, SUITE 103, ALISO VIEJO, CA 92656-3065
(949) 831-3057
(949) 831-2515
Mailing address
24541 PACIFIC PARK DR, SUITE 103, ALISO VIEJO, CA 92656-3065
(949) 831-3057
(949) 831-2515

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G65658
CA

Other

Enumeration date
07/01/2008
Last updated
07/23/2008
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